Determining and comparing the effective lens position and refractive outcome of a novel rhexis-fixated lens to established lens designs

Session Details

Session Title: Cataract
Session Date/Time: Friday 21/02/2020 | 10:30-13:00
Paper Time: 12:24
Venue: Fes 1.

First Author: M.Shajari GERMANY
Co Author(s): R. Sonntag  T. Niermann  D. Holland  T. Kohnen  S. Priglinger  W. Mayer  

Abstract Details

Purpose:

To evaluate differences in effective lens position (ELP) based on the lens design. Intraocular lenses (IOL) with plate-haptic, c-loop haptic  and a rhexis fixated lens were compared.

Setting:

Department of Ophthalmology, Ludwig-Maximilians-University, Munich, Germany. Department of Ophthalmology, Goethe-University, Frankfurt, Germany. nordBlick Eye Clinic, Kiel, Germany.

Methods:

The study included patients having age-related cataract surgery with implantation of either a plate-haptic, c-loop haptic or a novel rhexis fixated IOL. Biometry and refraction measurements were conducted pre- and three months postoperatively. Lens constant optimization was performed.

Results:

Seventy eyes of 56 subjects were included. ELP for rhexis fixated IOL was shortest (4.29±0.24mm), followed by c-loop haptic (4.41±0.42mm) and plate-haptic (4.51±0.26mm) IOL. Difference in ELP was significant between rhexis fixated IOL and both plate-haptic (P=0.001) and c-loop haptic IOL (P=0.000). ACD adjustment based on lens design showed a significant effect on refraction and IOL power predictions for all formulas and lenses (P<0.05). For the rhexis fixated IOL the differences in refraction ranged from +0.04D for the Hill-RBF to +0.096D for Haigis. The other two lenses showed mean differences in refraction between -0.046D for Hill-RBF.

Conclusions:

The difference in IOL fixation and its resulting position in the capsular bag have a significant effect on the effective lens position and consequently a significant effect on the prediction of postoperative refraction.

Financial Disclosure: